224) ANSWER
B) High Risk for Deficient Fluid Volume
RATIONALE
The client with DIC is at risk for hemorrhage,
which takes priority over the non-life-threatening options 1 and 4. The client
could experience bruising or other areas of local bleeding from the disorder,
but hypovolemia from hemorrhage takes priority over risk for injury (option 3).
The issue of the question is knowledge of complications of DIC, specifically
hemorrhage and loss of circulating volume. With this in mind, focus on
physiologically based nursing diagnoses, and eliminate options 1 and 4. Choose
option 2 because it addresses a greater and more specific physiological risk.
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